Managing risk in antenatal care is dependent upon the identification of risk factors through clinical risk assessment during pregnancy to identify the care that is appropriate to individual women's needs. All guidelines need to be reviewed at regular intervals to incorporate new evidence and issues identified through audit and adverse event reporting. National Institute for Health and Clinical Excellence (NICE) guidelines and interventional procedures guidance provide evidence-based information for use by clinicians and pregnant women to make decisions about appropriate treatment in specific circumstances. The aim of pregnancy care pathways is to ensure that there are clear pathways in place to address the needs of pregnant women with various health problems during pregnancy, intrapartum and postnatally in accordance with national guidelines. Service providers should ensure that the staff mix provides multidisciplinary teams with agreed shared objectives.